Individual provider Active NPI

Craig P. Aebli, D.D.S., M.S.

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1861613713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0011207 Issued in FL
Practice address
1111 Person St
Kissimmee, FL 34741-4146
Phone
(407) 870-7404
Fax
(407) 870-9960
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0011207 FL Primary

Addresses

Primary practice location

1111 Person St
Kissimmee, FL 34741-4146

Mailing address

1111 Person St
Kissimmee, FL 34741-4146
Phone (407) 870-7404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN0011207FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oakport Dental Sanford PLLC. CurrentSince Dec 9, 2019 Accepting new patients
Oakport Dental Sanford PLLC General Practice Past Accepting new patients
Kissimmee Family Dentistry, PLLC General Practice Past Accepting new patients

Locations

2421 Maple Ave
Sanford, FL 32771
Phone (407) 323-5340

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861613713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PERSON ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414146",
            "telephone_number": "407-870-7404",
            "fax_number": "407-870-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PERSON ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414146",
            "telephone_number": "407-870-7404",
            "fax_number": "407-870-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AEBLI",
        "first_name": "CRAIG",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0011207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.